NPIMap

Organization Active NPI

Ella E. M. Brown Charitable Circle

Doing business as Oaklawn Hospital

  • General Acute Care Hospital
  • Marshall, MI
National Provider Identifier
1861475360
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
130080 Issued in MI
Legal business name
ELLA E. M. BROWN CHARITABLE CIRCLE
Doing business as
Oaklawn Hospital
Practice address
200 N Madison St
Marshall, MI 49068-1143
Phone
(269) 789-3921
Fax
(269) 781-7117
NPI assigned
Nov 29, 2005
Last updated
May 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Colleen M Koppenhaver
Title
Chief Financial Officer
Phone
(269) 789-3921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 130080 MI Primary

Addresses

Primary practice location

200 N Madison St
Marshall, MI 49068-1143

Mailing address

200 N Madison St
Marshall, MI 49068-1143
Phone (269) 789-3921

Other identifiers 2

IdentifierTypeStateIssuer
1557079MedicaidMI
5171557MedicaidMI

Other names 1

  • Oaklawn Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101103000173 MI Part A Provider - Hospital 1254228745 Practice locations: Marshall, MI; Battle Creek, MI; Olivet, MI; Tekonsha, MI; Albion, MI; Coldwater, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861475360. Details of each certification follow.

Hospital certification: CCN 230217

Legal name
ELLA E M BROWN CHARITABLE CIRCLE
Doing business as
OAKLAWN HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 27, 2019
Beds
94
Ownership / control type
Other
Organization structure
CorporationNon-profit
Enrollment address
200 N Madison St
Marshall, MI 49068-1143
Other Hospital Practice Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Oaklawn HospitalCCN 230217 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Ella E M Brown Circle9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

193 Fairview Ln
Ste F
Sonora, CA 95370
Phone (209) 536-3277

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Randall Davis Individual Corporate Director Jun 23, 2017
Joseph Palchak Individual Corporate Director May 1, 2007
Theresa Dawson Individual W-2 Managing Employee Mar 15, 2015
Thomas Neidlinger Individual Corporate Director Dec 1, 2010
Jack W Townsend Individual Corporate Director Mar 30, 2012
Derek King Individual Corporate Director Apr 28, 2017
Bruce Rasher Individual Corporate Director Jan 25, 2019
Gregg Beeg Individual Corporate OfficerPresident & Ceo Aug 4, 2018
Jaclyn S Liston-Crandall Individual W-2 Managing Employee Apr 18, 2021
Catherine Yates Individual Corporate Director Mar 1, 2015
Franklin Line Individual Corporate Director May 1, 2020
Meghan Taft Individual Corporate Director Oct 28, 2022
Andrew Poole Individual Corporate OfficerCfo Aug 4, 2018

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

Affiliated clinicians 285

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 285

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1861475360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N MADISON ST",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681143",
            "telephone_number": "269-789-3921",
            "fax_number": "269-781-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MADISON ST",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681143",
            "telephone_number": "269-789-3921",
            "fax_number": "269-781-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLA E. M. BROWN CHARITABLE CIRCLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "KOPPENHAVER",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "269-789-3921"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "130080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1557079",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5171557",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oaklawn Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshall, MI

Sources for this page

Verify at the official NPI Registry.